MRS. JISHA MATHEW APRN - NPI 1205478724 - Nurse Practitioner in League City, TX

Q: What is Jisha Mathew's NPI number?

The NPI number for Jisha Mathew is 1205478724. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Q: What is Jisha Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jisha Mathew was last updated on April 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Jisha Mathew Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JISHA MATHEW APRN (NPI 1205478724) is an individual family provider in League City, Texas, licensed in Texas (1121908) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1205478724

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JISHA MATHEWCredential: APRN

Location Address2911 S SHORE BLVD STE 190League City, TX 77573-3919

Mailing AddressPo Box 57845Webster, TX 77598-7845 · (281) 538-8188 · Fax (281) 538-8189

Phone(281) 538-8188

Fax(281) 538-8189

Sole ProprietorNo

Enumeration DateOctober 16, 2019

Last NPPES UpdateApril 21, 20265 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1205478724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1121908

2911 S SHORE BLVD STE 190, League City, TX 77573

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Secondary Practice Locations 4

Location 1905 W Medical Center Blvd Ste 102Webster, TX 77598-4009 · Phone (346) 688-0043

Location 2600 N Kobayashi Ste 309Webster, TX 77598-4841 · Phone (281) 724-8332

Location 3600 N Kobayashi Ste 110Webster, TX 77598-4841 · Phone (281) 338-1701

Location 4500 N Kobayashi Ste FWebster, TX 77598-4722 · Phone (281) 724-1860 · Fax (281) 724-1861

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jisha Mathew Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.24 typical visit price

range $57.19 – $173.07

Typical copayment $22.06 (range $14.29 – $43.26)

Most-billed visit code 99203

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATRINA MARIE JACKSON PA-C

Physician Assistant